Background: Dementia is a multifactorial disease due to genetic and environmental influences. Lack of intake of vitamins B6, B12, folic acid and blood pressure are one of the environmental factors that cause dementia.Objective: To analyze the relationship between the adequacy of vitamins B6, B12, folic acid and blood pressure with dementia in the elderlyMethod: This research was a cross sectional study, which was carried out in Tulungagung Regency. The sampling technique was cluster random sampling and a sample size of 100 elderly from 7 elderly Posyandu in Tulungagung Regency, with independent variables such as adequacy of vitamin B6, B12, folic acid and blood pressure, while the dependent variable was dementia. Data were analyzed with chi square testResults: Respondents in this study were generally aged 60-74 years (70.0%), women (48.0%), were educated in elementary / junior high school (60.0%) and did not work (69.0%). Most respondents have insufficient vitamin B6, B12 and folic acid in the less category, with percentages of 57.0%, 54% and 64%, respectively. There was an association between the adequacy of vitamins B6, B12 and folic acid with dementia in the elderly (OR=2.302; 95% CI=1.011-5.241; p=0.045; OR=2.397; 95% CI=1.060-5.422; p=0.034; OR=2.516; 95% CI=1.015-6.238; p=0.043). Blood pressure is associated with dementia in the elderly (OR=3.000; 95% CI=1.288-6.988; p=0.010). The average consumption of vitamin B6, B12 and folic acid in the normal group was higher than the dementia group, with a difference of 0.16 ± 0.04 mg, 0.54 ± 0.05 mcg and 65.89 ± 4.95 respectively mcgConclusionABSTRAKLatar Belakang: Demensia merupakan penyakit multifaktorial karena pengaruh genetik dan lingkungan. Minimnya asupan vitamin B6, B12, asam folat dan tekanan darah menjadi salah satu faktor lingkungan yang menyebabkan demensia.Tujuan: Tujuan penelitian ini adalah menganalisis hubungan antara kecukupan vitamin B6, B12, asam folat dan tekanan darah dengan demensia pada lanjut usiaMetode: Penelitian ini berupa penelitian cross sectional, yang dilakukan di Kabupaten Tulungagung. Teknik sampling dengan cluster random sampling dan besar sampel 100 lansia dari 7 posyandu lansia di Kabupaten Tulungagung, dengan variabel bebas berupa kecukupan vitamin B6, B12, asam folat dan tekanan darah, sedangkan variabel terikatnya adalah demensia. Data dianalisis dengan uji chi squareHasil: Responden penelitian ini umumnya berusia 60-74 tahun (70,0 %), wanita (48,0 %), berpendidikan terakhir SD/SMP (60,0 %) dan tidak bekerja (69,0 %). Kebanyakan responden memiliki kecukupan vitamin B6, B12 dan asam folat dalam kategori kurang, dengan persentase masing-masing 57,0 %, 54 % dan 64 %. Ditemukan hubungan antara kecukupan vitamin B6, B12 dan asam folat dengan demensia pada lanjut usia (OR=2,302, 95% CI=1,011-5,241, p=0,045; OR=2,397, 95% CI=1,060-5,422, p=0,034; OR=2,516,95% CI=1,015-6,238, p=0,043). Tekanan darah berhubungan dengan demensia pada lanjut usia (OR=3,000,95% CI=1,288-6,988,p=0,010). Rata-rata konsumsi vitamin B6, B12 dan asam folat kelompok normal lebih tinggi dibandingkan kelompok demensia, dengan selisih masing-masing sebesar 0,16±0,04 mg, 0,54±0,05 mcg dan 65,89 ±4,95 mcg.Kesimpulan: Terdapat hubungan antara kecukupan vitamin B6, B12, asam folat dan tekanan darah dengan demensia pada lanjut usia.
ABSTRACT Introduction: Low Fe coverage in young women can cause health problems such as anemia. The prevalence of anemia in Indonesia is higher in adolescent girls than in adolescent boys by 27.2%. This study aims to determine the causes of low Fe administration in young women and provide innovation proposals related to these causes. Method: This study uses a qualitative method with a type of case study research. This research was conducted from January 31, 2022 to March 16, 2022 at the Tulungagung District Health Office. This study uses primary and secondary data. The analysis is carried out by means of a fishbone diagram to find the root cause of the problem. Result: In the area of the Health Office of Tulungagung Regency, the lowest nutritional problem was found in the coverage of young women who received Blood Supplement Tablets (TTD)/Fe at 3.3%. This achievement is still relatively low compared to the target of the National Medium-Term Development Plan (RPJMN) in 2021, which is 52%. Based on the research conducted, the causes of low Fe administration in young women include several factors. Discussion: Due to the problem of low Fe coverage in Tulungagung District, public health students made an innovation proposal in the form of a reputation program, which aims to increase the provision of Fe to young women, especially in Tulungagung District. ABSTRAK Latar Belakang: Rendahnya cakupan Fe pada remaja putri dapat menyebabkan masalah kesehatan seperti anemia. Prevalensi anemia di Indonesia lebih banyak pada remaja putri dibandingkan remaja laki-laki sebesar 27,2%. Penelitian ini bertujuan untuk mengetahui penyebab rendahnya pemberian Fe pada remaja putri dan memberikan usulan inovasi terkait penyebab tersebut. Metode: Penelitian ini menggunakan metode kualitatif dengan jenis penelitian studi kasus. Penelitian ini dilaksanakan pada tanggal 31 Januari 2022 hingga 16 Maret 2022 di Dinas Kesehatan Kabupaten Tulungagung. Penelitian ini menggunakan data primer dan data sekunder. Analisis yang dilakukan dengan cara diagram tulang ikan untuk menemukan akar penyebab masalah. Hasil: Di wilayah Dinas Kesehatan Kabupaten Tulungagung ditemukan masalah gizi terendah adalah cakupan remaja putri yang menerima Tablet Tambah Darah (TTD)/Fe sebesar 3,3%. Pencapaian ini masih relatif rendah dibandingkan dengan target Rencana Pembangunan Jangka Menengah Nasional (RPJMN) tahun 2021, yaitu 52%. Berdasarkan penelitian yang dilakukan, penyebab rendahnya pemberian Fe pada remaja putri meliputi beberapa faktor. Kesimpulan: Adanya masalah rendahnya cakupan Fe di Kabupaten Tulungagung, maka mahasiswa kesehatan masyarakat membuat proposal inovasi berupa Program Reputasi yang bertujuan untuk meningkatkan pemberian Fe pada remaja putri khususnya di kabupaten Tulungagung.
Increasing number of elderly population due to infl uence of increased life expectancy, has an impact on increasing various health problems that occur due to aging process, one of which is dementia. Dementia is infl uenced by various factors, one of which is the level of nutrient consumption. The purpose of this study was to examine the relationship between level of energy consumption, carbohydrate, fat and protein with dementia in elderly. The population was elderly (> 60 y.o) in Tulungagung Regency. This study was cross sectional study with sampling techniques were used cluster random sampling. Samples in this study was 165 person. Variable analysed used chi square test. There were relationship between age, energy and protein consumption level with dementia in elderly (p <0.05). Elderly who have dementia majority are over 70 years old (60.5%). The majority of elderly with dementia have energy and protein consumption level in low category, that is 48.7% and 55.3%, respectively. The conclusion is that there were correlation between age, level of energy and protein consumption with the incidence of dementia in elderly.
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